20211838 Ver 1_ePCN Application_20211220

DWR
Division of Water Resources
Initial Review
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
June 1, 2021 Ver 4.1
Has this project met the requirements for acceptance in to the review process?*
Yes
No
Is this project a public transportation project?*
Yes No
Change only if needed.
BIMS # Assigned* Version#*
20211838 1
Is a payment required for this project?*
No payment required
Fee received
Fee needed - send electronic notification
Select Project Reviewer*
Reviewing Office*
Washington Regional Office - [phone]
Garcy Ward:eads\gpward
Information for Initial Review
la. Name of project:
R-4705 Widening NC 125/SR 1142 (Prison Camp Road) from NC 903 to SR 1182 (East College Road)
la. Who is the Primary Contact?*
Paul Williams
1 b. Primary Contact Email: * lc. Primary Contact Phone: *
[e-mail] [phone]
Date Submitted
12/20/2021
Nearest Body of Water
UT to Tranters Creek, UT to Collie Swamp, UT to Turkey Swamp, Ready Branch, Dog Branch, UT to
Ready Creek, UT to Dog Branch
Basin
Tar -Pamlico; Roanoke
Water Classification
UT to Tranters Creek (C;Sw,NSW), UT to Collie Swamp (C;Sw,NSW), UT to Turkey Swamp
(C;Sw,NSW), Ready Branch (C), Dog Branch (C), UT to Ready Creek (C), UT to Dog Branch (C)
Site Coordinates
Latitude:
35.7985
A. Processing Information
Longitude:
-77.1584
County (or Counties) where the project is located:
Martin
Is this a NCDMS Project
Yes No
Is this project a public transportation project? *
Yes No
Is this a NCDOT Project? *
Yes No

(NCDOT only) T.I.P. or state project number:
R-4705
WBS # (?)
38932.1.FD1
Pre -Filing Meeting Information
Is this a courtesy copy notification?*
Yes No
ID#
20211838
Pre -fling Meeting or Request Date
4/18/2019
Attach documentation of Pre -Filing Meeting Request here:
Click the upload button or drag and drop files here to attach document
R-4705 Martin County 4C meeting Minutes.pdf
File type roust be PDF
la. Type(s) of approval sought from the Corps:
Section 404 Permit (wetlands, streams and waters, Clean Water Act)
Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Has this PCN previously been submitted?*
Yes
No
1 b. What type(s) of permit(s) do you wish to seek authorization?
Nationwide Permit (NWP)
Regional General Permit (RGP)
Standard (IP)
lc. Has the NWP or GP number been verified by the Corps?
Yes No
Version
1
81.88KB
Regional General Permit (RGP) Number: 198200031 - NCDOT Bridges, Widening Projects 2015
RGP Numbers (for multiple RGPS):
Id. Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular
Non-404 Jurisdictional General Permit
Individual 401 Water Quality Certification
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
1f. Is this an after -the -fact permit application?*
Yes No
lg. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
lg. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
1 h. Is the project located in any of NC's twenty coastal counties?
Yes No
1j. Is the project located in a designated trout watershed?
Yes No
401 Water Quality Certification - Express
Riparian Buffer Authorization
Yes No
Yes No
B. Applicant Information
ld. Who is applying for the permit?
Owner Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
Yes No

2. Owner Information
2a. Name(s) on recorded deed:
NCDOT Right-of-way NC 125/SR 1142 Prison Camp Road
2b. Deed book and page no.:
2c. Contact Person:
Paul Williams
2d. Address
Street Address
113 Airport Dr.
Address Line 2
City
Edenton
Postal / Zip Code
27932
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
State / Province / Region
NC
Country
USA
2f. Fax Number:
[phone]
C. Project Information and Prior Project History u
1. Project Information
1b. Subdivision name:
(if appropriate)
lc. Nearest municipality / town:
Robersonville, Williamston
2. Project Identification
2a. Property Identification Number:
2b. Property size:
352.2
2c. Project Address
Street Address
NC 125/SR 1142 (Prison Camp Road) from NC 903 to SR 1182 (East College Road)
Address Line 2
City State / Province / Region
Robersonville, Williamston NC
Postal / Zip Code Country
27871 /27892 USA
3. Surface Waters
3a. Name of the nearest body of water to proposed project: *
UT to Tranters Creek, UT to Collie Swamp, UT to Turkey Swamp, Ready Branch, Dog Branch, UT to
Ready Creek, UT to Dog Branch
3b. Water Resources Classification of nearest receiving water: *
UT to Tranters Creek (C;Sw,NSW), UT to Collie Swamp (C;Sw,NSW), UT to Turkey Swamp
(C;Sw,NSW), Ready Branch (C), Dog Branch (C), UT to Ready Creek (C), UT to Dog Branch (C)
3c. What river basin(s) is your project located in?*
Tar -Pamlico
Roanoke
3d. Please provide the 12-digit HUC in which the project is located.
030201030502, 030201030501, 030201030504, 030101070402
4. Project Description and History
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application: *
The land use in the area is primarily agriculture and silviculture with rural residential housing. Existing NC 125/SR 1142 is a two-lane roadway with 12 foot wide travel lanes and 4-foot
grass shoulders.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past? *
Yes No Unknown

4f. List the total estimated acreage of all existing wetlands on the property:
4.75
4g. List the total estimated linear feet of all existing streams on the property:
3,391
4h. Explain the purpose of the proposed project: *
The purposed project consists of widening Prison Camp Road to an improved two-lane road with 12-foot lanes and eight -foot shoulders (four -foot paved) from NC 903 to just west of SR
1141 (Allen Williams Road). In addition to the widening, the road will be shifted slightly in some locations to improve curvature. From Allen Williams Road to SR 1182 (East College Road),
a three -lane curb and gutter cross section is proposed with 12-foot lanes and a ten -foot berm behind the curb. Additional right-of-way will required to accommodate the proposed
improvements. The proposed project is approximately 9.645 miles long. The purpose of the project is to improve safety and traffic operation on NC 125/1142 (Prison Camp Road).
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
Widening to an improved two-lane road with 12-foot lanes and eight -foot shoulders (four -foot paved). Multiple culverts will be replaced throughout the project. Project will result in 0.45 acre
of permanent fill in wetlands, <0.01 acre of excavation in wetlands, 0.72 acre of hand clearing in wetlands, 630 linear feet of permanent stream impacts, 182 linear feet of temporary stream
impacts, and 198 linear feet of bank stabilization. Standard road building equipment, such as trucks, pavers, excavators, and bulldozers will be used.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes
Comments:
No
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
Preliminary Approved Not Verified Unknown N/A
Corps AID Number:
SAW-2017-01753
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
Greg Price, Rob Crowther
Carolina Ecosystems
Unknown
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
6. Future Project Plans
6a. Is this a phased project?*
Yes No
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related activity?
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
Wetlands
Open Waters
2. Wetland Impacts
Streams -tributaries
Pond Construction
Buffers
2a. Site #* (?)
2a1 Reason (?)
2b. Impact type* (?)
2c. Type of W.*
2d. W. name*
2e. Forested*
2f. Type of Jurisdicition*
(?)
2g. Impact
area*
3A
Roadway fill and culvert
replacement
P
Bottomland Hardwood Forest
WC
Yes
Corps
0.056
(acres)
3A
Temp. Hand Clearing for
Roadway Construction
T
Bottomland Hardwood Forest
WC
Yes
Corps
0.130
(acres)
3B
Roadway fill and culvert
replacement
P
Bottomland Hardwood Forest
WE
Yes
Corps
0.064
(acres)
3B
Temp. Hand Clearing for
Roadway Construction
T
Bottomland Hardwood Forest
WE
Yes
Corps
0.148
(acres)
4
Roadway fill and culvert
replacement
P
Riverine Swamp Forest
WF
Yes
Corps
0.214
(acres)

4
Temp. Hand Clearing for
Roadway Construction
T
Riverine Swamp Forest
WF
Yes
Corps
0.260
(acres)
5
Roadway fill and culvert
replacement
P
Bottomland Hardwood Forest
WH
Yes
Corps
0.075
(acres)
5
Temp. Hand Clearing for
Roadway Construction
T
Bottomland Hardwood Forest
WH
Yes
Corps
0.060
(acres)
6
Roadway fill and culvert
replacement
P
Bottomland Hardwood Forest
WG
Yes
Corps
0.041
(acres)
6
Temp. Hand Clearing for
Roadway Construction
T
Bottomland Hardwood Forest
WG
Yes
Corps
0.055
(acres)
9
Roadway fill and culvert
replacement
P
Non -Tidal Freshwater Marsh
WK
Yes
Corps
0.001
(acres)
9
Temp. Hand Clearing for
Roadway Construction
T
Non -Tidal Freshwater Marsh
WK
Yes
Corps
0.002
(acres)
10
Ditch construction
P
Small -Basin Wetland
WM
Yes
Corps
0.009
(acres)
10
Temp. Hand Clearing for
Roadway Construction
T
Small -Basin Wetland
WM
Yes
Corps
0.064
(acres)
2g. Total Temporary Wetland Impact
0.719
2g. Total Wetland Impact
1.179
2i. Comments:
All listed on Impact Summary included with Permit Drawings.
3. Stream Impacts
2g. Total Permanent Wetland Impact
0.460
3a. Reason for impact (?)
3b.Impact type*
3c. Type of impact*
3d. S. name*
3e. Stream Type*
(?)
3f. Type of
Jurisdiction*
3g. S. width*
3h. Impact
length*
S1
Site 1 - culvert installation
Permanent
Culvert
SA
Intermittent
Corps
6
Average (feet)
33
(linear feet)
S2
Site 1 - culvert installation
Temporary
Dewatering
SA
Intermittent
Corps
6
Average (feet)
10
(linear feet)
S3
Site 1 - Bank Stabilization
Permanent
Bank Stabilization
SA
Intermittent
Corps
6
Average (feet)
14
(linear feet)
S4
Site 2 - culvert installation
Permanent
Culvert
SB
Perennial
Corps
5
Average (feet)
49
(linear feet)
S5
Site 2 - culvert installation
Temporary
Dewatering
SB
Perennial
Corps
5
Average (feet)
27
(linear feet)
S6
Site 2 - Bank Stabilization
Permanent
Bank Stabilization
SB
Perennial
Corps
5
Average (feet)
14
(linear feet)
S7
Site 3 - culvert installation
Permanent
Culvert
SC
Perennial
Corps
15
Average (feet)
10
(linear feet)
S8
Site 3 - culvert installation
Temporary
Dewatering
SC
Perennial
Corps
15
Average (feet)
10
(linear feet)
S9
Site 3 - Bank Stabilization
Permanent
Bank Stabilization
SC
Perennial
Corps
15
Average (feet)
46
(linear feet)
St0
Site 7 - culvert installation
Permanent
Culvert
SE
Perennial
Corps
5
Average (feet)
16
(linear feet)
S11
Site 7 - culvert installation
Temporary
Dewatering
SE
Perennial
Corps
5
Average (feet)
10
(linear feet)
S12
Site 7 - Bank Stabilization
Permanent
Bank Stabilization
SE
Perennial
Corps
5
Average (feet)
12
(linear feet)
S13
Site 8 - culvert installation
Permanent
Culvert
SI
Perennial
Corps
4
Average (feet)
97
(linear feet)
S14
Site 8 - culvert installation
Temporary
Dewatering
SI
Perennial
Corps
4
Average (feet)
20
(linear feet)
S15
Site 8 - Bank Stabilization
Permanent
Bank Stabilization
SI
Perennial
Corps
4
Average (feet)
14
(linear feet)

S16
Site 11 - culvert installation
Permanent
Culvert
SK
Perennial
Corps
7
Average (feet)
5
(linear feet)
S17
Site 11 - culvert installation
Temporary
Dewatering
SK
Perennial
Corps
7
Average (feet)
7
(linear feet)
S18
Site 11 - Bank Stabilization
Permanent
Bank Stabilization
SK
Perennial
Corps
7
Average (feet)
16
(linear feet)
S19
Site 12 - culvert installation
Permanent
Culvert
Ready Branch
Perennial
Corps
7
Average (feet)
44
(linear feet)
S20
Site 12 - culvert installation
Temporary
Dewatering
Ready Branch
Perennial
Corps
7
Average (feet)
20
(linear feet)
S21
I
Site 12 - Bank Stabilization
Permanent
Bank Stabilization
Ready Branch
Perennial
Corps
7
Average (feet)
20
(linear feet)
S22
Site 13 - culvert installation
Permanent
Culvert
SL
Perennial
Corps
8
Average (feet)
4
(linear feet)
S23
Site 13 - culvert installation
Temporary
Dewatering
SL
Perennial
Corps
8
Average (feet)
10
(linear feet)
S24
Site 13 - Bank Stabilization
Permanent
Bank Stabilization
SL
Perennial
Corps
8
Average (feet)
16
(linear feet)
S25
Site 14 - Ditch Relocation
Permanent
Relocation
SN
Intermittent
Corps
3
Average (feet)
313
(linear feet)
S26
Site 14 - Ditch Relocation
Temporary
Dewatering
SN
Intermittent
Corps
3
Average (feet)
17
(linear feet)
S27
Site 15 - culvert installation
Permanent
Culvert
SM
Perennial
Corps
12
Average (feet)
55
(linear feet)
S28
Site 15 - culvert installation
Temporary
Dewatering
SM
Perennial
Corps
12
Average (feet)
30
(linear feet)
S29
Site 15 - Bank Stabilization
Permanent
Bank Stabilization
SM
Perennial
Corps
12
Average (feet)
20
(linear feet)
S30
Site 16 - culvert installation
Temporary
Dewatering
SP
Intermittent
Corps
6
Average (feet)
14
(linear feet)
S31
Site 16 - Bank Stabilization
Permanent
Bank Stabilization
SP
Intermittent
Corps
6
Average (feet)
12
(linear feet)
S32
Site 17 - culvert installation
Permanent
Culvert
Dog Branch
Perennial
Corps
6
Average (feet)
4
(linear feet)
833
Site 17 - culvert installation
Temporary
Dewatering
Dog Branch
Perennial
Corps
6
Average (feet)
7
(linear feet)
S34
Site 17 - Bank Stabilization
Permanent
Bank Stabilization
Dog Branch
Perennial
Corps
6
Average (feet)
14
(linear feet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
828
3i. Total stream and ditch impacts:
1010
3j. Comments:
All listed on Impact Summary included with Permit Drawings.
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Check all that apply.
Neuse
Catawba
Goose Creek
Other
3i. Total temporary stream impacts:
182
Tar -Pamlico
Randleman
Jordan Lake
6b. Impact Type
6c. Per or Temp
6d. Stream name
6e. Buffer mitigation required?
6f. Zone 1 impact
6g. Zone 2 impact
Site 1 - Culvert Installation
P
SB - UT to Tranters Creek
No
5,058
3,695
Site 2 - Culvert Installation
P
SC - UT to Collie Swamp
No
3,457
2,261
Site 3 - Culvert Installation
P
SK - UT to Turkey Swamp
No
1,505
1,209

6h. Total buffer impacts:
Total Temporary impacts:
Total Permanent impacts:
Total combined buffer impacts:
6i. Comments:
Zone 1
0.00
Zone 1
10,020.00
Zone 1
10,020.00
Road crossing impacts for construction access to culvert installations.
E. Impact Justification and Mitigation
Zone 2
0.00
Zone 2
7,165.00
Zone 2
7,165.00
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Avoidance and Minimization has been addressed through the Merger Process. Proposed fill slopes in wetlands have been set at 3:1 or less, to reduce
the impact foot print. Utility relocations will result in no impacts to jurisdictional streams or wetlands.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
The project will follow NCDOT guidelines and BMP's for culvert installation and we will implement an erosion control plan prior to any land disturbing
activities.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State?
Yes No
2c. If yes, mitigation is required by (check all that apply):
DWR Corps
2d. If yes, which mitigation option(s) will be used for this project?
Mitigation bank Payment to in -lieu fee program Permittee Responsible Mitigation
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
Yes No
4b. Stream mitigation requested:
(linear feet)
828
4d. Buffer mitigation requested (DWR only):
(square feet)
0
4f. Non -riparian wetland mitigation requested:
(acres)
0.009
4h. Comments
Approval letter will be submitted when received from DMS.
4c. If using stream mitigation, what is the stream temperature:
warm
4e. Riparian wetland mitigation requested:
(acres)
0.451
4g. Coastal (tidal) wetland mitigation requested:
(acres)
0
6. Buffer mitigation (State Regulated Riparian Buffer Rules) - required by DWR
6a. Will the project result in an impact within a protected riparian buffer that requires buffer mitigation? If yes, you must fill out this entire form - please contact DWR for more information.
Yes No
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
la. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
Yes No

What type of SCM are you providing?
Level Spreader
Vegetated Conveyance (lower SHWT)
Wetland Swale (higher SHWT)
Other SCM that removes minimum 30% nitrogen
Proposed project will not create concentrated stormwater flow through the buffer
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250? *
Yes No
Comments:
G. Supplementary Information
1. Environmental Documentation
la. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land? *
Yes No
1 b. If you answered "yes" to the above, does the project require preparation of an environmental document pursuant to the requirements of the National or State (North Carolina)
Environmental Policy Act (NEPA/SEPA)?*
Yes No
lc. If you answered "yes" to the above, has the document review been finalized by the State Clearing House?*
Yes No
Comments: *
Project is covered by Type IB Categorical Exclusion.
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)?*
Yes No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
Yes No
3b. If you answered "no," provide a short narrative description.
Project is for highway modernization and safety improvements. Project will not increase traffic or development for the surrounding area.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
Yes No N/A
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or habitat?*
Yes No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
Yes No
5d. Is another Federal agency involved?*
Yes
5e. Is this a DOT project located within Division's 1-8?
Yes No
No Unknown
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
NRTR dated 7/2017, current IPaC resource list, NC Natural Heritage Program. PBO for NLEB will be followed. PBO for Neuse River Waterdog will be
followed.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
Yes No

6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat? *
Essential Fish Habitat Mapper
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal governments have designated as having historic or cultural preservation status?*
Yes No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
CE Documentation, Archaeological Resources Survey Report dated August 18, 2017, Assessment of Effects dated May 2017
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
Yes No
8b. If yes, explain how project meets FEMA requirements:
NCDOT Hydraulics Unit coordination with FEMA
Sc. What source(s) did you use to make the floodplain determination?*
FEMA Maps
Miscellaneous
Please use the space below to attach all required documentation or any additional information you feel is helpful for application review. Documents should be combined into one file when
possible, with a Cover Letter, Table of Contents, and a Cover Sheet for each Section preferred.
Click the upload button or drag and drop files here to attach document
AR15-02-0014NoSitesPresent.pdf 13.78MB
R4705EffectsMay2017.pdf 7.31 MB
R-4705_Permit Drawings_08312021.pdf 15.56MB
R-4705_Permit Drawings_Buffer_02222019.pdf 2MB
R-4705 Martin County 4C meeting Minutes.pdf 81.88KB
SAW-2017-01753 NCDOT R-4705.pdf 138.02KB
R4705_VicMap.pdf 1.88MB
R-4705_HYD_SMPv2.08_(20190228) (Apr 2018).pdf 105.81KB
File must be PDF or KMZ
Comments
Signature
By checking the box and signing below, I certify that:
• The project proponent hereby certifies that all information contained herein is true, accurate, and complete to the best of my knowledge and belief'; and
• The project proponent hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time.
• I have given true, accurate, and complete information on this form;
I agree that submission of this PCN form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
I intend to electronically sign and submit the PCN form.
Full Name:
Paul Collins Williams, Jr.
Signature
cr4.
Date
12/20/2021